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Coblation Tonsillectomy versus Dissection Tonsillectomy in Management of Patients with chronic Tonsillitis

Author(s)
MUHAMMAD ILYAS Department of ENT, Postgraduate Medical Institute/Ameer ud Din Medical College / Lahore General Hospital,Lahore,Pakistan
WAQAS JAVAID Sir Ganga Ram Hospital/Fatimah Jinnah Medical University,Lahore,Pakistan
MIRZA MUHAMMAD SARWAR Department of ENT, Postgraduate Medical Institute/Ameer ud Din Medical College / Lahore General Hospital,Lahore,Pakistan
MUHAMMAD USMAN KHALID Department of ENT, Postgraduate Medical Institute/Ameer ud Din Medical College / Lahore General Hospital,Lahore,Pakistan
HASAN MAJID Department of ENT, Postgraduate Medical Institute/Ameer ud Din Medical College / Lahore General Hospital,Lahore,Pakistan
MARYAM FATIMA Department of ENT, Postgraduate Medical Institute/Ameer ud Din Medical College / Lahore General Hospital,Lahore,Pakistan
Abstract
Background: In past few years Tonsillectomy is the most common surgical procedure. No consensus is present upon one tonsillectomy technique which is most effective with few complications. Tonsillectomy with Coblation method is gaining popularity in recent years and undergoing intensive research. For more than a century, traditional dissection tonsillectomy has remained the gold standard for tonsil removal. Objective: To compare mean operation time and blood loss in Coblation tonsillectomy versus cold dissection tonsillectomy in patients undergoing tonsillectomy. Results: The mean age of cases in this study was 33.78±16.21 years with 56(46.67%) male and 64(53.335) female cases. In dissection group mean blood loos was 143.63±34 mL and in Coblation group the mean blood loos was 113.45±24.61 mL, p-value < 0.001. The mean surgery time in dissection group was 40.08±6.64 minutes and in Coblation group was 32.62±4.21 minutes with significantly less in Coblation method when compared with dissection group, p-value < 0.001. Conclusion: When compared to cold steel dissection tonsillectomy, this study found that radiofrequency Coblation results in less mean operation time and mean blood loss. With radiofrequency Coblation, a better outcome can be attained, as well as the satisfaction of both the patient and the surgeon.
Publication Details
Page(s) 139-143
DOI 10.51642/ppmj.v32i04.360
Published Journal: Pakistan Postgraduate Medical Journal, Volume: 32, Issue: 4, Year: 2021

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Keywords
Complications, pain, Tonsillectomy, Coblation, blood loos, dissection
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